Healthcare Provider Details

I. General information

NPI: 1750492831
Provider Name (Legal Business Name): A SAFE PLACE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/31/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 PARK ST SUITE 13
YANKTON SD
57078-3846
US

IV. Provider business mailing address

500 PARK ST SUITE 13
YANKTON SD
57078-3846
US

V. Phone/Fax

Practice location:
  • Phone: 605-661-5176
  • Fax: 605-665-2036
Mailing address:
  • Phone: 605-661-5176
  • Fax: 605-665-2036

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier4995077
Identifier TypeOTHER
Identifier StateSD
Identifier IssuerWELLMARK
# 2
Identifier6571033
Identifier TypeMEDICAID
Identifier StateSD
Identifier Issuer

VIII. Authorized Official

Name: TERRE BERKLAND
Title or Position: CEO/THERAPIST
Credential: MSW/PIP
Phone: 605-661-5176